Gabriel Larrea
Gabriel Larrea is a Student in an Organized Health Care Education/Training Program in Glendale, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
6425 San Fernando RdGlendale, CA 91201-3624
Phone: (818) 956-3754
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 60683 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1598070633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 12, 2010 |
| Last updated in NPPES | April 23, 2025 |
| Certification date | April 23, 2025 |
| Mailing address | 6425 San Fernando Rd, Glendale, CA 91201-3624 |
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